PMID- 33123756 OWN - NLM STAT- MEDLINE DCOM- 20210504 LR - 20240427 IS - 1432-0851 (Electronic) IS - 0340-7004 (Print) IS - 0340-7004 (Linking) VI - 70 IP - 5 DP - 2021 May TI - Impact of tumor heterogeneity and microenvironment in identifying neoantigens in a patient with ovarian cancer. PG - 1189-1202 LID - 10.1007/s00262-020-02764-9 [doi] AB - Identification of neoepitopes as tumor-specific targets remains challenging, especially for cancers with low mutational burden, such as ovarian cancer. To identify mutated human leukocyte antigen (HLA) ligands as potential targets for immunotherapy in ovarian cancer, we combined mass spectrometry analysis of the major histocompatibility complex (MHC) class I peptidomes of ovarian cancer cells with parallel sequencing of whole exome and RNA in a patient with high-grade serous ovarian cancer. Four of six predicted mutated epitopes capable of binding to HLA-A*02:01 induced peptide-specific T cell responses in blood from healthy donors. In contrast, all six peptides failed to induce autologous peptide-specific response by T cells in peripheral blood or tumor-infiltrating lymphocytes from ascites of the patient. Surprisingly, T cell responses against a low-affinity p53-mutant Y220C epitope were consistently detected in the patient with either unprimed or in vitro peptide-stimulated T cells even though the patient's primary tumor did not bear this mutation. Our results demonstrated that tumor heterogeneity and distinct immune microenvironments within a patient should be taken into consideration for identification of immunogenic neoantigens. T cell responses to a driver gene-derived p53 Y220C mutation in ovarian cancer warrant further study. FAU - Dao, Tao AU - Dao T AD - Molecular Pharmacology Program, SKI, Memorial Sloan Kettering Cancer Center, New York, NY, USA. FAU - Klatt, Martin G AU - Klatt MG AD - Molecular Pharmacology Program, SKI, Memorial Sloan Kettering Cancer Center, New York, NY, USA. FAU - Korontsvit, Tatyana AU - Korontsvit T AD - Molecular Pharmacology Program, SKI, Memorial Sloan Kettering Cancer Center, New York, NY, USA. FAU - Mun, Sung Soo AU - Mun SS AD - Molecular Pharmacology Program, SKI, Memorial Sloan Kettering Cancer Center, New York, NY, USA. FAU - Guzman, Sean AU - Guzman S AD - Molecular Pharmacology Program, SKI, Memorial Sloan Kettering Cancer Center, New York, NY, USA. FAU - Mattar, Marissa AU - Mattar M AD - Molecular Pharmacology Program, SKI, Memorial Sloan Kettering Cancer Center, New York, NY, USA. FAU - Zivanovic, Oliver AU - Zivanovic O AD - Gynecology Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA. AD - Department of Obstetrics and Gynecology, Weill Cornell Medical College, New York, NY, USA. FAU - Kyi, Chrisann K AU - Kyi CK AD - Gynecological Medical Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA. AD - Department of Medicine, Weill Cornell Medical College, New York, NY, USA. FAU - Socci, Nicholas D AU - Socci ND AD - Bioinformatics Core, Memorial Sloan Kettering Cancer Center, New York, NY, USA. FAU - O'Cearbhaill, Roisin E AU - O'Cearbhaill RE AUID- ORCID: 0000-0001-8217-4554 AD - Gynecological Medical Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA. ocearbhr@mskcc.org. AD - Department of Medicine, Weill Cornell Medical College, New York, NY, USA. ocearbhr@mskcc.org. AD - National University of Ireland, Galway, Ireland. ocearbhr@mskcc.org. FAU - Scheinberg, David A AU - Scheinberg DA AD - Molecular Pharmacology Program, SKI, Memorial Sloan Kettering Cancer Center, New York, NY, USA. scheinbd@mskcc.org. AD - Gynecological Medical Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA. scheinbd@mskcc.org. AD - Department of Medicine, Weill Cornell Medical College, New York, NY, USA. scheinbd@mskcc.org. AD - Experimental Therapeutics Center, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA. scheinbd@mskcc.org. LA - eng GR - R35 CA241894/CA/NCI NIH HHS/United States GR - P01 CA023766/CA/NCI NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - CA55349/CA/NCI NIH HHS/United States GR - CA23766/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20201029 PL - Germany TA - Cancer Immunol Immunother JT - Cancer immunology, immunotherapy : CII JID - 8605732 RN - 0 (Antigens, Neoplasm) RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (HLA-A*02:01 antigen) RN - 0 (HLA-A2 Antigen) RN - 0 (Tumor Suppressor Protein p53) SB - IM MH - Antigens, Neoplasm/genetics/*metabolism MH - Cells, Cultured MH - Epitopes, T-Lymphocyte/genetics/*metabolism MH - Female MH - HLA-A2 Antigen/genetics/*metabolism MH - Humans MH - Immunotherapy, Adoptive/*methods MH - Middle Aged MH - Mutation/*genetics MH - Neoplasm Staging MH - Ovarian Neoplasms/*immunology MH - T-Lymphocytes/*immunology MH - Tumor Microenvironment MH - Tumor Suppressor Protein p53/genetics/*metabolism MH - Exome Sequencing PMC - PMC8053669 MID - NIHMS1642516 OTO - NOTNLM OT - Immunotherapy OT - Mass spectrometry OT - Neoepitopes OT - Ovarian cancer OT - Parallel sequencing OT - T cell response COIS- David Scheinberg is on the advisory board of, has received consulting fees from, and/or has equity in Progenics Pharmaceuticals, Sellas, KLUS, Iovance Biotherapeutics, Inc., Pfizer, Actinium Pharmaceuticals, Inc., OncoPep, and Eureka Therapeutics. Tao Dao has equity in Eureka Therapeutics. Dr O'Cearbhaill's institution receives funding for clinical research that she is leading from Celgene/Juno, Tesaro/GSK, Ludwig Cancer Institute, Abbvie, Regeneron, TCR2 Therapeutics, Atara Biotherapeutics, MarkerTherapeutics, Syndax Pharmaceuticals, Genmab Therapeutics, Sellas Therapeutics, Genentech, Kite Pharma, and the Gynecologic Oncology Foundation. Dr O'Cearbhaill has served on a once-off advisory board for Regeneron, Genmab Therapeutics, and GSK. All other authors declare no conflict or competing interests. EDAT- 2020/10/31 06:00 MHDA- 2021/05/05 06:00 PMCR- 2020/10/29 CRDT- 2020/10/30 05:56 PHST- 2020/07/24 00:00 [received] PHST- 2020/10/15 00:00 [accepted] PHST- 2020/10/31 06:00 [pubmed] PHST- 2021/05/05 06:00 [medline] PHST- 2020/10/30 05:56 [entrez] PHST- 2020/10/29 00:00 [pmc-release] AID - 10.1007/s00262-020-02764-9 [pii] AID - 2764 [pii] AID - 10.1007/s00262-020-02764-9 [doi] PST - ppublish SO - Cancer Immunol Immunother. 2021 May;70(5):1189-1202. doi: 10.1007/s00262-020-02764-9. Epub 2020 Oct 29.